# Opposition Brief — United States ex rel. Foulds v. Texas Tech University

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## Record

- **Collection:** Supreme Court brief
- **Document type:** Opposition Brief
- **Published:** January 1, 2000
- **Citation:** 530 U.S. 1202

## Text

a@| THE

Nos. 99-513 & 99-36 DEC 20 1999
; ie

In the Supreme Court of the

TEXAS TECH UNIVERSITY AND
TEXAS TECH UNIVERSITY HEALTH
SCIENCES CENTER,
Cross-Petitioners,
V.

UNITED STATES OF AMERICA EX REL.
CAROL RAE COOPER FOULDS,
Cross-Respondent,
v.

UNITED STATES OF AMERICA,
Cross-Respondent.

On Petition for a Writ of Certiorari to the
United States Court of Appeals for the Fifth Circuit

FOULDS’S BRIEF IN OPPOSITION TO
THE CONDITIONAL CROSS-PETITION

PETER W. CHATFIELD
' Counsel of Record
Phillips & Cohen, L.L.P.
2000 Massachusetts Ave., N.W.
Washington, D.C. 20036
(202) 833-4567
Counsel for Cross-Respondent Foulds

TABLE OF CONTENTS

Page
Se ae RE cilibisinsucriiecnclidaphiculiinecsisiddpiateguupibiocinivcdees i
po BL EES RE ND ae il

CROSS-RESPONDENT’S STATEMENT OF THE CASE.. 2
REASONS FOR DENYING THE CROSS-PETITION........ 6

I. TEXAS TECH’S STATUTORY ARGUMENTS
ARE NOT RIPE FOR REVIEW........:c:scssecsssssossoesessseseees 6

Il. STATES ARE "PERSONS" SUBJECT TO FALSE
Se Fe ERIE D U csescatnedinniincstcerentmeenneornsees 9

A. The Purpose, Subject Matter and Legislative
History of the False Claims Act Demonstrate
That Congress Intended the Act to Reach
States That Submit False Claims................... 10

B. The Language and Statutory Framework
and Executive Interpretation of the False
Claims Act Demonstrate that "Person[{s]"
ND iaseiiicticciahehinptonpiiveneviiei suibeaiiae 15

Cc. Congress's Clear Intent to Include States
as Liable "Person[s}" Under the False
Claims Act Should Not Be Overridden.......... 22

li

TABLE OF CONTENTS — Continued

CUNO LA RIIISY vecscsetoscesssconbunessebniionegeusoncsniente sanpinsniinnenciticgee 24

iil

TABLE OF AUTHORITIES

Page
Cases:
Atascadero State Hospital v. Scanlon,
Fe as OE A dacthelilcssicnidbidiinsctittcshnicncottrrapeateteiio 11,17
California v. United States, 320 U.S. 577 (1944) ........ 9, 13, 16
City of Mesquite v. Aladdin's Castle, Inc.,
ne ER fa iliac diienscsinihatiliiiidcesevsciiipecedniiantbienerenmes 8
Cohen v. Beneficial Industrial Loan Corp.,
Rr Or ee Ce ini achidtirintintitiionintcmemen 6,7
Commissioner v. Lundy, 516 U.S. 235 (1996).......:cccceeseeseeeees 20
Edelman v. Jordan, 415 U.S. 651 (1974)......c:ccccccecseeeeeeeeeeees 8
Georgia v. Evans, 316 U.S. 159 (1942).....ccccccsssesseseeeeseeeeeeees 13
Helvering v. Stockholms Enskilda Bank,
I Sooo ciniesesiaencrnigsivodeniesedgnmmsensienieneiinin 9
Herman & MacLean v. Huddleston,
Rs ee cA iiithicpuiiisinieninthciiiatptnternisgiabinrenecinniaveaniains 14

Hilton v. South Carolina Public Railways Com'n,
a a | REE Sic a coe 12

iv

TABLE OF AUTHORITIES — Continued

Page
International Primate Protection League v.
Administrators of Tulane Educational Fund,
Fe Oi SUF ee incendeiiitcitiliaaiaiinienssiininiliacinaine iimipuseniaiia 10
Lorillard v. Pons, 434 U.S. 575(1978)........ccccscsceseeeseseeeeeeeees 18
Merrill Lynch, Pierce, Fenner & Smith, Inc. v. Curran,
IO UL, Fas ei tiihcittsinceniniiannsibiedicciespitinniaaisaiiaa 14
Monell v. Department of Social Services of City of
Pay FON, SI GE, Gr Fe itevtsncnencsinitvipeeitienintannnsaniiiia 13
Ohio v. Helvering, 292 U.S. 360 (1934)......ccccccesceseeeeneees 9,13
Plumbers’ Union v. Door County, 359 U.S. 354 ......cccceeeeees 9
Puerto Rico Aqueduct and Sewer Authority v.
Metcalf & Eddy, Inc., 506 U.S. 139 (1993).......ccccccccseeeeeeeees 6
Sims v. United States, 359 U.S. 108 (1959).......c.cccccceseeeeeeees 10
Swint v. Chambers County Com'n,
FOS CA. St ee icticesninstsieiecnissiiiieneisaimamenaiindibiuselbidieiaian 6,7

Thornburg v. Gingles, 478 U.S. 30 (1986)........cccccsececeseseeeeees 10

TABLE OF AUTHORITIES — Continued

Page
United States v. Bornstein, 423 U.S. 303 (1976).......ccccecesee0e. 23
United States v. Cooper Corporation,
Ey MEey IIIT A cessinisitetiniiapitinnctiubdhaninabbieiinsesabassiuiaiaions 9, 21
United States v. Halper, 490 U.S. 435 (1989),
abrogated in other respects, Hudson v. United States,
Bae ey BROS CIDE D ccrnsewserevtpenssnninyoosensonvicoomntnroastecrssetenieense 23
United States v. National Treasury Emp. Union,
FEF as Pe eee ai aininiiaiolabili ite LS chaise 8°
United States v. Neifert-White Co..,
a als AEE tits tiaesiniilaieisiicnaicestegrcenessstontieanaeinsaubcedconi 11,19
U.S. ex rel. Marcus v. Hess, 317 U.S. 537 (1943)..c.cccccceseseeee 23
U.S. ex rel. Wisconsin v. Dean, 3
729 F.2d 1100 (7th Cir. 1984)............ EWES 2 95 OOK, Oa ae 20
U.S. ex rel. Woodard and State of Colorado v.
County View Care Center, Inc., 797 F.2d 888
GROOE Ge, Re hisscsesicchashishacinacastaine tna tibdatiie hac uisadre. ae

West Virginia University Hospitals, Inc. v. Casey,
Fr Oe aR CO cai thactinisabincsdeliobiclidiccdpcicdassiavestcdbuiiiactabcican ais 20

vi

TABLE OF AUTHORITIES — Continued

Page
Will v. Michigan Dept. of State Police, |
BT, en Ee ee 8, 11,12
rw BE ee 15
Statutes:
B UBL. © 1 -cssrsunssocnspectinssventrsscnstagarvenstideisiecnissinanideiuisiinsiaiatie 23
BS UF he BB TSN S BG seersesnsicsnenrssecseenenceressnsaiinieiiitidenpiaeid 18, 19
FO ULBAL. §: ITI ccccccinicsntnieprvigilinassniilaiedaatiniagslimemappeatiiiinite 7
MB ELBA. 6 DPT becnvstinnececrstiensssencieenceenntictartiiliatgmcmnetamanini 7
DE UA} 6 FER, OE BOG, cencicincertserceetinmiitpniibasintiltnaniin 22
BE UBC. § S7ZID cceevesecssvrsssccessitilittivenngeasediaiabediaiidinimaiaillad 9
31 USC. § SINNED cskiinitttinnmie 14, 15, 16
STUB. SB STII meccerensucccensnennepinnsinienimoninntiiiiinaaniinnals 16

FE LBA. § S7GR, vevecceresesiseovinniiicnsngedetbtenpapeniarsaniach 17, 18, 19, 20

Vii

TABLE OF AUTHORITIES — Continued

Page
FE aps Gp aPC iti eS Sak ealile & 3
i LE SR RE 7 eee 22
OU 8 TNE hina ae Bs Csi or 8
Constitution:
Se EU Es CNUNNED TU ciniicirclicctnetchdciinsanbcoetiebasiceentisnes passim
Other Authorities:
Bureau of the Census, U.S. Dept. of Commerce,
Publication FES/96, Table 11, "Federal Expenditures
by State for Fiscal Year, 1996" (1997)........cccccccccssecesssseseseees 21
D. Cantelme, Federal Grant Programs to State and
Local Governments, 25 Pub. Cont. L.J. 335 (1996)....cccc0e0000. 21

R. Salcido, Screening Out Unworthy Whistleblower

Actions: An Historical analysis of the Public Disclosure
Jurisdictional Bar to Qui Tam Actions Under the False
Claims Act, 24 Pub. Contract L.J. No. 2 (Winter 1995)........ 14

5: eee. SU SOUS Is es 22

Vill

TABLE OF AUTHORITIES — Continued

Page
S. Rep. No. 99-345 (1986), reprinted in 1986 United
States Code of Congressional and Administrative
SEUNG Tie tininiiiienennesteinirercnstitiataiatiaiinariiaasstiltt alate passim

Cross-Respondent Foulds submits this Response to
Texas Tech University and Texas Tech University Health
Sciences Center (hereafter “Texas Tech”) Cross-Petition For a
Wnit of Certiorari (S.Ct. No. 99-513), as well as to the United
States’s Petition for a Writ of Certiorari (S.Ct. No. 99-365).'
The issue in the cross-petition is whether State-funded
institutions that engage in precisely the same kinds of
fraudulent conduct affecting the federal treasury as do privately
owned entities should be deemed exempt from the definition of
“persons” that can be held liable under the 1986 amendments to
ihe Federal False Claims Act. Cross-petitioners ask this Court
to grant them such an exemption. They do so notwithstanding
Congress’s understanding at the time the 1986 amendments
were introduced that States already could be held liable under
the previous terms of the False Claims Act. And they do so
despite Congress’s clear intent to continue to hold States liable
for fraudulent conduct at the time that it introduced major
amendments to the Act in order to significantly strengthen and
expand its usefulness as a weapon for fighting fraud against the
United States.

; Foulds filed her petition for certiorari in this matter on August 23,
1999 (S.Ct. No. 99-321). Shortly thereafter, the United States filed its own
petition (S.Ct. 99-321). Before the Fifth Circuit, the United States and
Foulds appeared as co-appellees and advanced the same positions with
respect to the Eleventh Amendment issues currently before this Court.
Foulds’s and the United States’s petitions for certiorari likewise seek
identical relief. This Court nonetheless has directed Foulds to respond to the
United States’s petition as well as to Texas Tech’s cross-petition.
Consistent with the advice of the Clerk of Court, this footnote is provided
to confirm for the Court that Foulds supports the United States’s petition in
Supreme Court Case No. 99-365 for the reasons set for in her own petition.

2

CROSS-RESPONDENT’S STATEMENT OF THE CASE

1. The False Claims Act, 31 U.S.C. §§ 3729-3733, is
the federal Government’s “primary litigative tool for combating
fraud” committed by all “unscrupulous coniractors and
grantees.” S. Rep. No. 345 (1986), reprinted in, 1986
U.S.C.C.A.N. 5266, 5273. Under the Act, any “person” who,
inter alia, knowingly presents or causes to be presented a false
or fraudulent claim to the United States for payment or approval
is liable to the Government for three times the amount of
damages which the Government sustains because of that
person’s act plus penalties for each false claim submitted.

In 1986, Congress substantially amended the False
Claims Act and, in particular, its gui tam provisions. Section
3730(b) allows any person to bring a False Claims Act suit in
the name of the Government to recover damages suffered by the
United States and to share in any recovery obtained as a result
of the suit. The gui tam plaintiff, known as a relator, initiates
a suit, by filing a complaint under seal in a United States
District Court. Simultaneously, the relator must serve a copy
of the complaint on the federal Government together with a
written disclosure statement describing all of the information
and evidence in the relator’s possession relating to the case. 31
U.S.C. § 3730(b)(2).

The United States then has at least 60 days to investigate
the relator’s allegations and determine whether to intervene and
proceed with the action. /d., § 3730(b)(3). If the United States
intervenes, the action is conducted by the Government. /d.,
§ 3730(b)(4)(A). If the Government does not intervene, the
relator has the nght to proceed with the action in the

3

Government’s name, albeit with significant Government
oversight and without the United States ever truly relinquishing
control of the litigation. See /d.,§§ 3730(c)(2) and (3).

2. Relator Carol Rae Cooper Foulds filed this gui tam
action under seal on August 4, 1995 in the Northern District of
Texas, Lubbock Division. Foulds alleged that defendants Texas
Tech University and Texas Tech University Health Sciences
Center violated the FCA by submitting false claims to the
United States under the federal government’s Medicare and
Medicaid programs (referred to jointly hereafter as
“Medicare”). Specifically, relator alleged that in violation of
applicable laws and regulations, defendants submitted claims to
Medicare for services performed by physicians when in fact
those services were performed by residents or physicians-in-
training outside the presence of, and with little if any direct
oversight by any physician. Because the Medicare program
already separately compensates teaching hospitals for care
provided Medicare patients by residents, such billing constitutes
double-billing of the Medicare program for resident services.
Private institutions, such as the University of Pennsylvania,
have been subjected to False Claims Acct liability for precisely
analogous misconduct.

3. On September 12, 1996, the District Court denied the
United States’s ex parte application for an extension of time to
determine whether to intervene and ordered the clerk to unseal
Foulds’s complaint. Defendants were served on October 18,
1996.

After being served with the complaint, defendants
moved to dismiss. They contended, first, that the Eleventh

4

Amendment precludes the suit, and, second, that the state is not
a “person” under the FCA. However, on January 21, 1997,
before that motion was decided, the parties filed a joint motion
for a stay of the proceedings. This motion was made
subsequent to notification to the defendants by the Office of
Inspector General of Health Care Finance Administration
(“HCFA”) that they would be subject to an audit under the
Physicians at Teaching Hospitals (“PATH”) initiative. At that
time, PATH was a nationwide federal effort to investigate
allegations against teaching hospitals like those raised in the qui
tam complaint Foulds had filed. Ultimately, however, Texas
was excluded from the PATH initiative, and no audit took
place.

Upon being notified that they would not be audited
under PATH, defendants moved on August 1, 1997, to have the
stay lifted so that their jurisdictional challenge to the qui tam
action could be decided. Defendants’ motion to lift the stay
was granted. On September 29, 1997, the District Court further
ruled that the designated time for the United States to intervene
in the qui tam action had lapsed without the United States
making an explicit election to do so, and thus that the United
States effectively had waived its right to intervene. Defendants’
representation at page 2 of its cross-petition that the United
States “declined to participate in the suit” is therefore
inaccurate.

4. The District Court thereafter turned its attention to |
defendants’ motion to dismiss based on Eleventh Amendment |
immunity and their contention that states do not qualify as
“persons” liable as defendants under the False Claims Act. In
an order dated October 3, 1997, the District Court denied

|

5

defendants’ motion on both grounds. Defendants aprealed, and
the District Court stayed all proceedings pending the outcome
of the appeal.

5. On February 18, 1998, the Fifth Circuit granted the
United States’s motion to intervene as a matter of right under
28 U.S.C. § 2403 as a plaintiff-appellant in the appeal so that it
could defend the constitutionality of the gui tam provisions of
the False Claims Act as they applied to state defendants.

6. On March 29, 1999, the Fifth Circuit panel reversed
the district court’s decision with respect to the Eleventh
Amendment, holding that “when the United States has not
actively intervened in the action, the Eleventh Amendment bars
qui tam plaintiffs from instituting suits against the sovereign
states in federal court.” Because the Fifth Circuit determined
that the Eleventh Amendment presented a “threshold
jurisdictional issue,” it decided that it should not reach the
statutory question of whether the state is a “person” under the
FCA.

7. Foulds filed a petition for a writ of certiorari in this
matter seeking review of the Fifth Circuit’s Eleventh
Amendment decision on August 23, 1999 (S.Ct. No. 99-321).
On August 28, 1999, the United States filed its own petition for
a writ of certiorari (S.Ct. No. 99-365) which seeks review of the
Fifth Circuit’s ruling on essentially identical grounds as does
Foulds’s petition. Texas Tech University and Texas Tech
Health Science Center filed briefs in opposition to the petitions
for writs of certiorari of Foulds and the United States on
September 20, 1999. At the same time, defendants filed their
current Conditional Cross-Petition for Writ of Certiorari (S.Ct.

6

No. 99-513), asking that — if the Supreme Court grants
certiorari for purposes of reviewing the Fifth Circuit’s ruling
with respect to the Eleventh Amendment immunity defense
defendants have raised — it also agree to hear the statutory
interpretation issue that the Fifth Circuit declined to address.

REASONS FOR DENYING THE CROSS-PETITION

I. TEXAS TECH’S STATUTORY ARGU-
MENTS ARE NOT RIPE FOR REVIEW.

Because it relates to a claimed right of immunity from
suit, Texas Tech’s Eleventh Amendment challenge to the
jurisdiction of federal courts to hear claims brought against
state entities by qui tam plaintiffs under the False Claims Act
was properly subject to interlocutory review pursuant to this
Court’s rulings in Puerto Rico Aqueduct and Sewer Authority
v. Metcalf & Eddy, Inc., 506 U.S. 139, 147 (1993), and Cohen
v. Beneficial Industrial Loan Corp., 337 U.S. 541, 546 (1949).
The tral court’s determination that States are “persons” subject
to potential liability under the Act, however, does not raise an
issue that normally would give rise to the right to an immediate
appeal.’ In Swint v. Chambers County Comm'n, 514 U.S. 35,
49-50 (1995), this Court held that appellate courts lack

States immediately may appeal orders denying claims of Eleventh
Amendment immunity because the right to immunity from suit “is
effectively lost if a case is erroneously permitted to go to trial.” Metcalf &
Eddy, Inc., 506 U.S. at 144. Texas Tech’s statutory claim, however, is a
defense to Jiability, not an immunity from suit. It thus may be asserted on
appeal from a final judgment without loss of any essential benefit of the
defense.

Re ee

7

discretion “to append to an * * * appeal from a collateral order
further rulings of a kind neither independently appealable nor
certified by the district court.” 514 U.S. at 47.2 While Swint
leaves room to invoke “pendent appellate jurisdiction” to permit
appellate review of an otherwise non-appealable ruling that is
“inextricably intertwined” with a properly appealable interlocu-
tory order, or that must be decided to ensure “meaningful
review” of the issue properly before the court, those circum-
stances do not exist in this case.

The Eleventh Amendment issue raised in this case is not
“inextricably intertwined” with the statutory question decided
by the court of appeals. Courts could — and, as the Fifth
Circuit properly recognized in its decision below, properly
should — _ determine the constitutional issue regarding
jurisdiction before considering whether States are “persons”
under the False Claims Act. If there is no jurisdiction over the
claim, there is no proper case before the courts in which to
Teach non-jurisdictional issues. Similarly, if no Eleventh
Amendment impediment to jurisdiction exists in gui tam cases
against States, there is no compelling need for appellate courts
to expand their jurisdiction to include questions of statutory

, The Swint Court reasoned that the statutory scheme of 28 U.S.C.
§§ 1292(a)-(b) contemplates that district courts have “first line discretion”
to determine which orders not enumerated in 28 U.S.C. § 1291 or otherwise
appealable under Cohen are appropriate for interlocutory review: that the
Rules Enabling Act empowers the Court to expand the list of orders
appealable on an interlocutory basis only through the rule-making process
of 28 U.S.C. § 2072 and not through judicial decision; and that “loosely
allowing pendent appellate jurisdiction would encourage parties to parlay
Cohen-type collateral orders into multi-issue interlocutory appeal tickets.”
514 U.S. at 47, 49-50.

8

interpretation before final judgment has been entered below.
Indeed, this Court has followed precisely such a course of
separating Eleventh Amendment jurisdictional questions from
statutory interpretation questions in the past. In Edelman vy.
Jordan, 415 U.S. 651 (1974), for example, the Court
adjudicated the scope of a State’s Eleventh Amendment
immunity without addressing whether States are “persons”
under 42 U.S.C. § 1983, an issue that the Court only decided
fifteen years later. See Will v. Michigan Dept. of State Police,
491 U.S. 58, 63 n.4 (1989). Moreover, the Eleventh Amend-
ment question is not coterminous with the statutory question,
nor does it subsume it. The statutory question is substantially
broader: Texas Tech’s arguments on that question, if accepted,
would preclude all False Claims Act suits against state-run
entities, including those brought directly by the Attorney
General, who clearly is not subject to Eleventh Amendment
immunities that justified an interlocutory appeal in this case.

While this Court has adhered in the past to a “policy of
avoiding the unnecessary adjudication of federal constitutional
questions,” City of Mesquite v. Aladdin's Castle, Inc., 455 U.S.
283, 294 (1981) (emphasis added); see also United States v.
National Treasury Emp. Union, 513 U.S. 454, 477 (1995), that
prudential doctrine presupposes that the Court has jurisdiction
to review both grounds of decision. Because answering the
question whether courts have jurisdiction over a claim is a
necessary first step in determining whether any further issues
may be addressed, any policy of addressing statutory questions
before non-jurisdictional constitutional matters is irrelevant
here.

9

II. STATES ARE "PERSONS" SUBJECT TO FALSE
CLAIMS ACT LIABILITY.

Texas Tech asserts that States are not among the
“person[s]" that can be held liable under the False Claims Act
for defrauding the United States. Specifically, Texas Tech
contends that because "person" is not defined in § 3729(a), and
— according to Texas Tech — Congress never intended States
to be included among those that could be held liable under the
Act, neither gui tam plaintiffs nor the United States itself can
sue States for False Claims Act violations. Texas Tech is
wrong.

"[T]here is no hard and fast rule" that the term "person"
should be construed to exclude States when it is used in federai
statutes. See United States v. Cooper Corporation, 312 U.S.
600, 604-05 (1941). Indeed, the term "person" has frequently
been held to include States and their political subdivisions even
where Congress did not define the term in a statute. See, e.g.,
Helvering v. Stockholms Enskilda Bank, 293 U.S. 84, 91-92
(1934)("It has been held many times that the United States or a
state is a ‘person’ within the meaning of statutory. provisions
applying only to persons."); Ohio v. Helvering, 292 U.S. 360,
371 (1934)("The state itself, when it becomes a dealer in intoxi-
cating liquors, falls within the reach of a tax either as a ‘person’
under the statutory extension of that word to include a
corporation, or as a ‘person’ without regard to such extension.");
California v. United States, 320 U.S. 577, 585 (1944)(Oakland
and California each held to be among "entities other than tech-
nical corporation, partnership and associations [that] are
included among ‘persons subject to Shipping Act); Plumbers’
Union v. Door County, 359 U.S. 354, 359 (1959)("This Court
has many times held that government bodies not expressly

10

included in a federal statute may, nevertheless, be subject to the
law.").

"[W]hether the word ‘person’ when used in a federal
statute includes a State cannot be abstractly declared, but
depends upon its legislative environment." Sims v. United
States, 359 U.S. 108, 112 (1959). If the purpose, subject
matter, context, legislative history, or executive interpretation
of the statute reveal such an intent, States and other sovereigns
should be construed to fall within the meaning of the term.
International Primate Protection League v. Administrators of
Tulane Educational Fund, 500 U.S. 72, 83 (1991); Cooper
Corporation, 312 U.S. at 605.

The "legislative environment" of the False Claims Act
leaves no doubt that States are intended to be among the
"persons" who can be held liable for defrauding the Federal
Government. Every relevant factor leads to that conclusion.

A. — The Purpose, Subject Matter and Legislative
History of the False Claims Act Demonstrate
that Congress Intended the Act to Reach
States that Submit False Claims.

The Supreme Court "has repeatedly recognized that the
authoritative source of legislative intent lies in the Committee
Reports on the bill." Thornburg v. Gingles, 478 U.S. 30, 44 n.7
(1986). When the False Claims Act was substantially amended
in 1986, Congress unequivocally expressed its understanding
and intention that the liability provisions of the Act apply to
States as well as to any other recipient of federal funds. The
Senate Report that accompanied those amendments specifically
noted:

11

"The False Claims Act reaches all parties who
may submit false claims. The term ‘person’ is
used in its broad sense to include partnerships,
associations, and corporations ... as well as
States and political subdivisions thereof."

S. Rep. No. 99-345, at 8 (emphasis added, internal citations
omitted). This statement of the reach of the statute is entirely
consistent with the broad remedial purpose of the Act. In
addition, the Senate Report "strongly endorse[d]" the opinion
offered by the Supreme Court in United States v. Neifert-White
Co., 390 U.S. 228, 232 (1968); that, since its inception, the
False Claims Act "was intended to reach all types of fraud,
without qualification, that might result in financial loss to the
Government." S. Rep. No. 99-345, at 19. Indeed, Congress’s
primary purpose for overhauling the statute in 1986 was to
make it more effective in redressing and deterring fraudulent
claims that permeate "all Government programs” ranging from
welfare and food stamp benefits, to multibillion dollar defense
procurements, to crop subsidies and disaster relief programs, to
Medicare and Medicaid programs. Id., at 2-3, 21.

Texas Tech contends that this Court's ruling in Will v.
Michigan Dept. of State Police, 491 U.S. 58 (1989), requires
that Congress make its intent “‘unmistakably clear in the
language of the statute’ if it intends to subject a state to
liability.” Texas Tech Pet. at 13, quoting Will, 491 U.S. at 65.
In fact, no such broad-based restriction has ever been imposed
on Congress. Texas Tech conveniently omits key language
from its quotation which demonstrates that Will's discussion of
the "clear statement" rule is a mere reference to the uniquely
high standard for abrogating the Eleventh Amendment that was
established in Atascadero State Hospital v. Scanlon, 473 U.S.

12

234, 242 (1985).* Read in their entirety, the relevant passages
of Atascadero and Will plainly limit the requirement that
congressional intent be unmistakably clear "in the language of
the statute” to circumstances in which Congress intends "to
alter the ‘usual constitutional balance between States and the
Federal Government.’” Will, 491 U.S. at 65, quoting Atasca-
dero, 473 U.S. at 242 (emphasis added). Indeed, this Court has
expressly disavowed the notion that Will extended the
requirement set forth in Atascadero to apply where the issue to
be determined is one of statutory construction and not one of
altering the constitutional balance between States and the
Federal Government. See Hilton v. South Carolina Public
Railways Com'n, 502 U.S. 197, 205-206 (1991).

The gui tam provisions of the False Claims Act do not
“alter the usual constitutional balance between States and the
Federal Government." Whether it initiates a suit itself or
permits a gui tam plaintiff to proceed on its behalf, the United
States is always the real party in interest in False Claims Act
action and, since the inception of the Union, has had the inher-
ent night to sue States for violating federal law. There is thus no
basis to limit the means of ascertaining Congress's intent with
respect to potential State liability under the Act to "unmistak-
ably clear" language in the text of the Act itself.

Texas Tech also errs in suggesting that Congress was
mistaken in its understanding of the reach of the False Claims
Act prior to its 1986 amendments. This argument ignores the

’ See also, Atascadero, 473 U.S. at 253-54 (Brennan, J., dissent-
ing (majority in Atascadero creates, solely with respect to abrogating the
Eleventh Amendment, a uniquely high hurdle for Congress to overcome in
making its legislative intent manifest).

13

three Supreme Court cases cited in Senate Report No. 99-345
in support of the conclusion that the False Claims Act applies
to States. While the cited cases were not False Claims Act
decisions, each holds that, where appropriate to fully implement
the remedial purposes of an act, the term "person" is properly
construed to include States and their political subdivisions. See
Ohio v. Helvering, 292 U.S. at 370 (a State is a liable "person"
where its activity in selling liquor brings its conduct within area
of concern of federal statute); Georgia v. Evans, 316 U.S. 159,
161-62 (1942)(state victim is a "person" under terms of the
antitrust laws where harm it suffers from an antitrust violation
is the same as that suffered by private persons); Monell v.
Department of Social Services of City of New-York, 436 U.S.
658, 690 (1978)(local governments are accountable "persons"
under § 1983 where they violate the policies underlying that
act). In light of the False Claims Act's broad-based objective of
fighting all types of fraud against the United States, the cases
cited in the Senate Report fully support application of the term
to cover any state entity that engages in such misconduct.
Indeed, this Court has concluded that States must be considered
“persons” within the meaning of a statute if "its plain purposes
preclude their exclusion." California v. United States, 320 U.S.
at 585.

Texas Tech also asserts that Senate Report No. 99-345
is irrelevant with respect to the meaning of “person” because it
does not describe the 1986 amendments but is rather part of the
Report’s description of the history of the Act. First, as noted
above, in light of the broad remedial purposes that have always
formed the foundation of the False Claims Act, Congress's
interpretation in 1986 of the prior reach of the Act is entirely
sound. More fundamentally, however, Texas Tech is simply
wrong in asserting that Congress’s understanding of the scope

14

of the Act at the time it substantially amended the statute is
unimportant. In fact, that understanding and how Congress
chose to act in light of it are controlling.

In 1986, Congress dramatically reworked the FCA so as
to maximize its effectiveness in fighting fraud.’ As part of its
overhaul of the Act;Congress imade adjustments to the very
provision of the Act at issue here — which persons might be
held liable for fraud — by narrowing the exclusion that had
previously existed for members of the armed forces and by
adding new exclusions (under some circumstances) for
Members of Congress, members of the Judiciary, and senior
executive branch officials. See Senate Report No. 99-345, at
39, 43; 31 U.S.C. § 3730(e). Although it obviously could,
Congress did not provide any similar sort of exclusion for
States. That decision +s significant.

This Court has noted repeatedly that where, in making
major changes to a statute, Congress does not seek to overturn
an interpretation it knows the courts have applied to retained
provisions of pre-existing legislation, it can be inferred that
Congress has ratified the courts’ interpretation of that aspect of
the law. See, e.g., Herman & MacLean v. Huddleston, 459 U.S.
375, 385-86 (1983); Merrill Lynch, Pierce, Fenner & Smith,
Inc. v. Curran, 456 U.S. 353, 381-82 & n.66 (1982). A similar
inference has been drawn where, in substantially reenacting

. "Beginning in 1985 and ending in 1986, Congress undertook a
major overhaul of the False Claims Act, covering both the substantive and
the-qui tam provisions." Robert Salcido, Screening Out Unworthy
Whistleblower Actions: An Historical analysis of the Public Disclosure
Jurisdictional Bar to Qui Tam Actions Under the False Claims Act, 24 Pub.
Contract L.J. No. 2 (Winter 1995), 250 (citations omitted). See also S. Rep.
No. 99-345, passim.

15

laws, Congress did not seek to overturn prior administrative
interpretations of existing provisions. See, ¢.g., Zemel v. Rusk,
381 U.S. 1, 11-12 (1965). There is no reason to afford any less
weight to Congress's decision to leave intact its own
interpretation of the reach of a statute that it has comprehen-
sively reviewed and has otherwise substantially amended.

When Congress overhauled the False Claims Act in
1986, it specifically addressed the definition of liable "persons"
under the Act and reaffirmed the inclusive reach of that term.
The intent of Congress in 1986 is manifest and controlling.

B. The Language and Statutory Framework and
Executive Interpretation of the False Claims
Act Demonstrate that "Person(s]" Include
States.

The explicit reference to States and their political
subdivisions in the Senate Report coupled with the broadly-
stated purpose of the Act to reach all fraud against the United
States are the clearest indication of congressional intent to hold
States liable for any fraud they commit. They are by no means,
however, the only aspects of the "legislative environment" of
the False Claims Act that support that conclusion. Congress's
intent to define "person" to include States is evidenced as well
by the text and statutory framework of the Act.

As noted above, although the amended statute
specifically provides certain categories of persons partial
exclusions from liability, see 31 U.S.C. § 3730(e)(relating to
certain qui tam actions), it does not include States or their
political subdivisions among the excluded groups. Moreover,
the narrow limitations Congress placed on the exclusions it

16

granted military personnel and certain high-ranking federal
officials® to False Claims Act liability serve only to underscore
the breadth of the Act. If Congress was willing, with only
limited restrictions, to extend False Claims Act liability to
members of the military, Members of Congress, members of the
Judiciary, and senior executive branch officials in the Federal
Government, there is no reason to presume that it intended to
give States and their political subdivisions any greater leeway
in defrauding the Federal Government.

Congress’s intent to protect the federal fisc from any
individual or entity that would advance fraud against the federal
government is evident as well by its stated intent to include
States and their political subdivisions among “employers” that
could be held liable under the 1986 amendments for retaliating
against their employees for taking lawful action to expose and
remedy False Claims Act violations. See 31 U.S.C. § 3730(h).
The Senate Report that accompanied the 1986 amendments
explained that the definitions of "employee" and "employer"
under the new whistleblower protection provisions of the FCA
were meant to be "all-inclusive" and that the term "employers"
was meant to include “public as well as private sector entities."
S. Rep. No. 99-345, at 34-35 (emphasis added). Cf. California
v. United States, 320 U.S. at 586 (holding that legislative
history stating that the Shipping Act should apply "no less [to]

’ The exclusion for members of the armed forces relates only to
actions brought against them by other former or present members of the
armed forces for claims arising out of service in the armed forces. See 31
U.S.C. § 3730(e)(1). Members of Congress and members of the judiciary
are immune only from qui tam actions. Id., § 3730(e)(2). And senior
executive branch officials are granted an exclusion only with respect to qui
tam actions that are "based on evidence or information already known to the
Government when the action was brought." Id.

17

public than [to] private owners" of waterfront terminals shows
congressional intent to hold cities and States accountable under
that act).’

The provision of the False Claims Act that was added in
1986 to authorize civil investigative demands ("CIDs") likewise
confirms that Congress contemplated that States and their
political subdivisions could be held liable for fraud under the
statute. In 31 U.S.C. § 3733(1)(4), “person” is defined to
include “any State or political subdivision of a State." While
Texas Tech has argued that the inclusion of the phrase "[flor
purposes of this section" at the beginning of the definitions set
forth in § 3733(1) indicates that Congress intended the
definition of “persons” to be different for CIDs than for the
liability provisions of the Act, see Texas Tech Pet. at 8-9, the
legislative history of § 3733 shows that precisely the opposite
is true.

In explaining the CID provisions that were added to the
False Claims Act in 1986, Senate Report No. 99-345 notes that
the provisions of § 3733 are "nearly identical" to CID authority
that had already been granted the Antitrust Division of the

; While this Court held in Atascadero, 473 U.S. at 244, that — to
effect any necessary abrogation of Eleventh Amendment immunity that
might apply to individual’s personal suits against States — Congress must
clearly specify in the language of the statute itself its intent to affect such
abrogation, no such restriction can properly be imposed on where Congress
may effectively demonstrate its intent for purposes of deciding the broader
question of whether Congress understood and intended to include state
entities among those who could be liable to the United States for fraud
under the False Claims Act. See, ¢.g., Atascadero, 473 U.S. at 253-54
(Brennan, J., dissenting)(majority in A<ascadero creates, solely with respect
to abrogating the Eleventh Amendment, a uniquely high hurdle for Congress
to overcome in making its legislative intent manifest).

18

Department of Justice under the Hart-Scott-Rodino Antitrust
Improvements Act of 1976, and that it was intended that "the
_legislative history and case law interpreting that statute (15
U.S.C. [§§] 1311-14), fully apply to this bill." Id., at 33.
Where Congress explicitly intends precedent interpreting one
statute to control another, its decision to have the language in
the newer bill track that of the older law as closely as possible
is only prudent. Moreover, where Congress has announced
such an objective, substantive variations from the prior statute
that are introduced in the new law must be understood to indi-
cate areas in which Congress intended to deviate from the
standards that apply under the older statute. See, e.g., Lorillard
v. Pons, 434 U.S. 575, 581-82 (1978)(noting importance in
ascertaining legislative intent of examining where Congress
incorporated the text of an older statute verbatim and where it
made changes to the language that had been used in the prior
legislation).

It is thus noteworthy that one of the ways that the CID
provisions of the False Claims Act deviate substantively from
their antitrust predecessor is their inclusion of States and States’
political subdivisions within the definition of the term "person."
Because antitrust CID law does not include state entities within
its definition of a "person," Congress's specific decision to add
States and their political subdivisions to definition of "person"
in § 3733 conforms — rather than distinguishes — the use of
that term in § 3733 to Congress's understanding of the term
"person" in the liability provisions of the Act.®

; The intended connection between the CID seciion of the False
Claims Act and pre-existing antitrust legislation also clarifies why Congress
included of the phrase "[f]or purposes of this section" as an introduction to
the definitions contained in § 3733. The phrase tracks the substantively

19

An additional weakness of Texas Tech's analysis
regarding how to interpret Congress's decision to include a
definition of "person" in the CID provisions of the False Claims
Act is the fact that the term is used within those provisions to
refer both to "person{s]" to whom CIDs might be served and to
"person{s] . . . engaged in any violation of a false claims law."
See 31 U.S.C. 3733(1)(2). Section 3733(1)(2) defines the term
"false claims act investigation" as "any inquiry conducted by
any false claims act investigator for purposes of ascertaining
whether any person is or has been engaged in any violation of
a false claims law." (Emphasis added.) Thus, read in its
entirety, § 3733 indicates that States and their political
subdivisions may be both recipients of CID requests and
entities whose knowing submission of false claims to the
United States can result in liability under the FCA. Such a
reading of § 3733 is consistent with Senate Report No. 99-345
and with the broad remedial purpose of the Act to reach "all
types of fraud, without qualification, that might result in
financial loss to the Government." Id., at 19; Neifert-White
Co., 390 U.S. at 232.

In contrast, to sustain Texas Tech's position, this Court
would need to conclude that Congress "got it wrong" twice —
first, when it stated in the legislative history of the False Claims
Act that it intended to include States among the "persons"
whose fraud could be remedied under the Act, and again when
it included the term "person" in its definition of a "false claims

identical passage introducing definitions in the chapter of the Antitrust Act
dedicated to CIDs, see 15 U.S.C. § 1311, and thus simply carries forward
Congress's stated plan to model the language and meaning of the FCA's new
CID provisions wherever possible directly upon the language used in their
antitrust predecessor.

20

law investigation" under § 3733. Where rational alternatives
exist, this Court should not adopt a reading of a statute that
assumes that Congress was sloppy or ill-informed. In
interpreting the law, it is the role of courts "to make sense rather
than nonsense out of the corpus juris." West Virginia Univer-
sity Hospitals, Inc. v. Casey, 499 U.S. 83, 101 (1991).

Other aspects of the "legislative environment"
demonstrate as well that Congress intended to include States in
the definition of a "person." In addition to using the term to
define who can be held liable under the Act and to whom CID
requests might be directed, the False Claims Act also uses the
term "person" to define who is eligible to act as a qui tam
plaintiff in such actions. No one denies States’ right to act as
qui tam relators under the Act. See, e.g., U.S. ex rel. Woodard
and State of Colorado v. County View Care Center, Inc., 797
F.2d 888 (10th Cir. 1986); U.S. ex rel. Wisconsin v. Dean, 729
F.2d 1100 (7th Cir. 1984). Indeed, when the 1986 Amendments
were drafted, Congress expressly acknowledged that fact and
acted upon the request of the National Association of Attorneys
General to overrule a lower court ruling that the States believed
unduly restricted their ability to bring qui tam suits under the
Act. See S. Rep. No. 99-345, at 12-13. "Identical words used
in different parts of the same statute are intended to have the
same meaning." Commissioner v. Lundy, 5i6 U.S. 235, 249
(1996). Having successfully urged Congress to strengthen
their standing as "persons" for purposes of reaping the rewards
of filing qui tam actions under the False Claims Act, it is
disingenuous for States now to argue that the one and only time
they should be excluded from the definition of a "person" in the
False Claims Act is when the term is used to refer to those who
may be held responsible for having defrauded the Federal
Government.

21

A final factor favoring inclusion of States within the
definition of "person" under the Act is the fact — evidenced by
its intervention and position on this and other appeals — that
_ the Department of Justice has consistently interpreted the
statute in that manner. See Cooper Corporation, 312 U.S. at
605 (listing "executive interpretation of the statute" among the
relevant considerations). The Department's position reflects
sound public policy and a common sense view of congressional
intent. Federal grants to state and local governments have risen
from a reported $2.4 billion in 1950,’ to about $108 billion in
1987, to approximately $228 billion in 1996.'° To exclude
States from the reach of the Act would dramatically undermine
the ability of the United States to protect the federal fisc.

It also would be wholly illogical to interpret the False
Claims Act to exempt state institutions from liability when the
Unites States has already successfully prosecuted private
institutions for the same fraudulent practices. Yet that will be
the result if Texas Tech's interpretation of the False Claims Act
prevails. In December 1995, the United States announced the
settlement of a False Claims Act suit against the University of
Pennsylvania, a private nonprofit corporation, for $30 million.
The misconduct charged against the University of Pennsylvania
was essentially the same as that Texas Tech is alleged to have
committed in this matter. Other teaching hospitals have since
paid similar claims. Thus, in Texas Tech's view, Congress

. See D. Cantelme, Federal Grant Programs to State and Local
Governments, 25 Pub. Cont. L.J. 335-336 (1996).

6s Bureau of the Census, U.S. Dept. of Commerce, Publication
FES/96, Table 11, "Federal Expenditures by State for Fiscal Year, 1996" 46
(1997). These amounts do not include federal funds other than grants
received by state agencies, such as contracts.

22

intended to subject private institutions to False Claims Act
liability but to exempt state institutions, even though both
engaged in the same fraudulent practices. A more sensible and
sound reading of the statute is that Congress intended the False
Claims Act to ferret out and fight fraud against the United
States wherever it occurs.

of Congress's Clear Intent to Include States as
Liable "Person[{s}" Under the False Claims
Act Should Not Be Overridden.

In light of the overwhelming evidence that Congress
intends False Claims Act liability to extend to the wrongdoing
of States and state entities, the other arguments Texas Tech
offers in support of its position are entitled to no weight. It is
irrelevant that, in passing the Program Fraud an Civil Penalties
Act ("PFCPA") and the Anti-Kickback Act of 1986,'' Congress
elected to include a definition of "person" that does not include
States. See Texas Tech Pet. at 11. Although the PFCPA
provides an administrative compliment to the False Claims Act,
it was not intended to be co-extensive with it. See Senate
Report 99-212, at 4-5, 34 (1985)(PFCPA procedures for
adjudicating program fraud claims apply only to "small-dollar"
claims; larger dollar claims "should be prosecuted in court"
under the FCA). Thus, far from suggesting that courts are free

. The PFCPA permits federal agencies that are victims of false
claims to proceed administratively to recover damages where the amount in
controversy is less than $150,000 and where the Department of Justice has
elected not to pursue the matter in federal court under the provisions of the
False Claims Act. See 31 U.S.C. § 380, et seg. The Anti-Kickback Act of
1986 makes it unlawful for government contractors to pay, solicit, or charge
the Federal Government for kickbacks associated with the bidding or
performance of federal government contracts See 41 U.S.C. § 51, et seq.

23

to ignore Congress's stated intent that False Claims Act liability
should extend to States, the fact that a narrower definition was
added to the text of PFCPA merely confirms the more limited
circumstances in which Congress believed reliance on adminis-
trative procedures was appropriate. Likewise, the fact that the
definition of "person" under the Anti-Kickback Act is narrower ~
than under the False Claims Act provides no basis whatsoever
to ignore the clear statement of congressional intent that States
may be held liable under the broader provisions of the FCA."”

Nor can the reluctance Texas Tech attributes to courts
with respect to imposing punitive damages on States justify
overriding Congress's intent to include them among the
"persons" subject to the False Claims Act. As this Court has
previously discussed at length, the multiple damages and civil
penalty provisions of the False Claims Act are not "punitive
damages" but rather "rough remedial justice." United States v.
Halper, 490 U.S. 435, 446 (1989), abrogated in other respects,
Hudson v. United States, 522 U.S. 1165 (1997); see also United
States v. Bornstein, 423 U.S. 303, 314-15 (1976)(purpose of
FCA remedies is to make government completely whole); U.S.
ex rel. Marcus v. Hess, 317 U.S. 537, 551-53 (1943)(same).
There is no basis override Congress’s manifest intent to treat
state institutions the same as than any other entity that know-
ingly defrauds the United States.

- Section 1 of the United States Code-Rules of Construction also
requires no different result. The definition of "person" included in 1 U.S.C.
§1 is one to be used by default only where the context of a particular statute
does not indicate otherwise. The Supreme Court has never applied that
section to override a different definition of the term that the “legislative
environment" shows Congress intended to apply with respect to a specific

statute.

24

CONCLUSION

For all the reasons set forth above, the Texas Tech’s
Conditional Cross-Petition for Writ of Certiorari should be

denied.

Respectfully submitted.
PETER CHATFIELD
Counsel of Record
JOHN R. PHILLIPS
Phillips & Cohen, L.L.P.
2000 Massachusetts Ave., N.W.
Washington, D.C. 20036
(202) 833-4567

Counsel for Cross-Respondent Foulds

December, 1999

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40386005_1110%3A3. Public record. Not legal advice.
